I-Pericarditis - ngemuva kokuhlaselwa yinhliziyo

I-Pericarditis ukuvuvukala nokuvuvukala kwesembozo senhliziyo (i-pericardium). Kungenzeka ezinsukwini noma emasontweni alandelayo ngemuva kokuhlaselwa yisifo senhliziyo.

Izinhlobo ezimbili ze-pericarditis zingenzeka ngemuva kokuhlaselwa yinhliziyo.

I-pericarditis yokuqala: Leli fomu livame ukwenzeka ezinsukwini ezi-1 ukuya kwezi-3 ngemuva kokuhlaselwa yinhliziyo. Ukuvuvukala nokuvuvukala kuyakhula njengoba umzimba uzama ukuhlanza izicubu zenhliziyo ezigulayo.

I-pericarditis yamuva: Lokhu kubizwa nangokuthi i-Dressler syndrome. Ibizwa nangokuthi i-post-cardiac injury syndrome noma i-postcardiotomy pericarditis). Imvamisa kukhula amasonto ambalwa noma izinyanga ngemuva kokuhlaselwa yinhliziyo, ukuhlinzwa kwenhliziyo, noma okunye ukuhlukumezeka enhliziyweni. Kungenzeka futhi ngesonto ngemuva kokulimala kwenhliziyo. I-Dressler syndrome kucatshangwa ukuthi iyenzeka lapho amasosha omzimba ehlasela izicubu zenhliziyo ezinempilo ngephutha.

Izinto ezikubeka engcupheni ephezulu ye-pericarditis zifaka:

• Isifo senhliziyo esedlule
• Vula ukuhlinzwa kwenhliziyo
• Ukuhlukumezeka kwesifuba
• Ukuhlaselwa yinhliziyo okuthinte ukushuba kwemisipha yenhliziyo yakho

Izimpawu zifaka:

• Ukukhathazeka
• Ubuhlungu besifuba obuvela ekuvuvukeni kwe-pericardium enhlizweni. Ubuhlungu bungaba bukhali, buqine noma buchoboze futhi bungahambela entanyeni, ehlombe noma esiswini. Ubuhlungu bungabuye bube bubi kakhulu lapho uphefumula futhi uhamba lapho uncika phambili, ume, noma uhlala phansi.
• Ukuphefumula kanzima
• Ukukhwehlela okomile
• Ukushaya kwenhliziyo okusheshayo (tachycardia)
• Ukukhathala
• Imfiva (ejwayelekile ngohlobo lwesibili lwe-pericarditis)
• UMalaise (ukugula okujwayelekile)
• Ukuswayipha kwezimbambo (ukugoba noma ukubamba isifuba) ngokuphefumula okujulile

Umhlinzeki wezempilo uzolalela inhliziyo yakho namaphaphu nge-stethoscope. Kungahle kube nomsindo wokuhlikihla (obizwa nge-pericardial friction rub, hhayi ukuthi udidaniswe nokukhononda kwenhliziyo). Imisindo yenhliziyo ngokuvamile ingaba buthakathaka noma izwakale kude.

Ukwanda koketshezi ekumbozeni inhliziyo noma isikhala ezungeze amaphaphu (i-pericardial effusion) akuvamile ngemuva kokuhlaselwa yinhliziyo. Kodwa, kuvame ukwenzeka kwabanye abantu abane-Dressler syndrome.

Ukuhlolwa kungafaka:

• Izimpawu zokulimala kwenhliziyo (i-CK-MB ne-troponin zingasiza ekutsheleni i-pericarditis ekuhlaselweni yinhliziyo)
• Isikena se-CT esifubeni
• I-MRI yesifuba
• I-x-ray yesifuba
• Qedela ukubalwa kwegazi (CBC)
• I-ECG (electrocardiogram)
• I-Echocardiogram
• I-ESR (isilinganiso sedimentation) noma amaprotheni asebenza ngo-C (izinyathelo zokuvuvukala)

Inhloso yokwelashwa ukwenza inhliziyo isebenze kangcono nokunciphisa izinhlungu nezinye izimpawu.

I-Aspirin ingasetshenziselwa ukwelapha ukuvuvukala kwe-pericardium. Umuthi obizwa nge-colchicine uvame ukusetshenziswa futhi.

Kwezinye izimo, uketshezi oluningi oluzungeze inhliziyo (i-pericardial effusion) lungadinga ukususwa. Lokhu kwenziwa ngenqubo ebizwa nge-pericardiocentesis. Uma kuvela izinkinga, ingxenye ye-pericardium kwesinye isikhathi ingadinga ukususwa ngokuhlinzwa (i-pericardiectomy).

Isimo singaphinde sivele kwezinye izimo.

Izinkinga ezingenzeka ze-pericarditis yilezi:

• I-tamponade yenhliziyo
• Ukwehluleka kwenhliziyo yokubopha
• I-pericarditis ecindezelayo

Shayela umhlinzeki wakho uma:

• Uba nezimpawu ze-pericarditis ngemuva kokuhlaselwa yinhliziyo
• Utholwe ukuthi une-pericarditis futhi izimpawu ziyaqhubeka noma zibuye naphezu kokwelashwa

I-Dressler syndrome; I-Post-MI pericarditis; Isifo sokulimala ngemuva kwenhliziyo; I-Postcardiotomy pericarditis

• I-MI enamandla
• I-Pericardium
• I-Post-MI pericarditis
• I-Pericardium

Ama-Jouriles NJ. Isifo se-Pericardial ne-myocardial. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 72.

I-LeWinter MM, izifo ze-Imazio M. Pericardial. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 83.

IMaisch B, Ristic AD. Izifo ze-Pericardial. Ku: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, ama-eds. Incwadi Yokunakekelwa Okubalulekile. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 84.